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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHARLES LEWIS ROGERS, OPA-C

Active

MR. CHARLES LEWIS ROGERS, OPA-C is a Clinical Chemistry Technician healthcare provider located in BLOOMINGTON, Illinois. NPI 1235258260 is currently active in the NPPES registry. Verify at CMS.

Clinical Chemistry Technician · BLOOMINGTON, IL

Registration Details

NPI Number
1235258260
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2007 (19.339872829072 yrs)
Last Updated
Jan 9, 2017
License
238.000269 (IL)

Practice Information

Address
1111 TRINITY LN
SUITE 111
BLOOMINGTON, IL, 617048111
Browse IL providers · Browse ZIP 61704
Phone
3096636461
Fax
3096635711
Primary Specialty
Clinical Chemistry Technician
246ZC0007X

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MRS. KIMBERLY ROCHELLE GORDON SURGICAL ASSISTANT 1245407709
MISS KRISTA L RUESTMAN 1871760173
MS. DEANNE MARIE BURNETT SURGICAL ASSISTANT 1689841835
MS. PAULA DELORES MALONE CST/RST, SA 1487812178
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.